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Common Facts About X-Guide: Navigated Dental Implants

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X-Guide uses real-time 3D navigation for precise implant placement and faster recovery.

Common Facts About X-Guide: The “GPS” of Modern Dental Implants

In​‍​‌‍​‍‌​‍​‌‍​‍‌ the realm of oral surgery, the biggest challenge is to avoid uncertainty. For many years, a dental implant was placed by merely depending on 2D X-rays and the surgeon’s steady hand. Although this was an efficient way, it was analogous to trying to hang a picture frame accurately while wearing an eyepatch—you depended on estimation more than exact coordinates.

Actually, dental technology is no longer about guessing. Here at Lema Dental Clinic in Istanbul, Turkey, we have revolutionized the implant procedure with X-Guide Dynamic 3D Navigation.

Imagine X-Guide as a super-accurate GPS that helps your jawbone to get around easily. Just like modern aviation that no longer allows pilots to land blindly in fog, we believe that eyeballing a temporary titanium screw’s exact position in your mouth shouldn’t be something your surgeon has to do.

What is X-Guide Navigation? (And Why Should You Care?)

x guide 3d navigation implant placement precision
x guide 3d navigation implant placement precision

X-Guide is an advanced, 3D navigation system that surgeons can use to get real-time, step-by-step guidance, and it also helps to enhance their precision when it comes to the surgical intervention. It monitors the surgeon’s drill as well as your patient’s body parts simultaneously.

Here is the difference: Traditionally, after taking a scan and planning the surgery, the doctor transfers that plan mentally to your mouth. X-Guide makes the plan be shown on a screen in real-time, and if you move your head, the tracking moves with you. In other words, it takes the guesswork out of the equation.

Professor Doctor Coşkun Yıldız frequently points out that this technology helps a “good” outcome to be “perfect”. When one has to work in proximity to critical anatomy—such as the inferior alveolar nerve in the lower jaw or the sinus floor in the upper jaw—being accurate to the nearest millimeter is not something optional but a requirement.

The “See-Through” Surgery Effect

Just think about being able to see through the gums and locate the spots in the bone where it is densest and the nerves are hiding. This is pretty much the same as the X-Guide screen view.

We at our Istanbul clinic are so impressed by the way this technology reduces “chair time.” Because we know precisely where we are heading, there is no need to create big incisions for the bone to be inspected. As a result, a major surgical event is turned into a minimally invasive procedure.

The Role of the Surgeon vs. The Machine

x guide flapless guided implant patient experience
x guide flapless guided implant patient experience

Many people mistakenly think that the robot performs the surgery. But that’s not the case really. The machine is the map; the surgeon is the pilot.

Dentist Polen Akkılıç and team always carefully base their work on this principle. The reason? The aesthetic success that a crown or bridge has depends solely on the implant angle below it. If the angle is not adjusted properly even by a slight degree, the tooth that has been restored might appear bulky or unnatural. X-Guide guarantees that the implant is positioned where the restoration team wants it for that perfect “Hollywood Smile.”

Comparison: Traditional vs. Navigated Surgery

People often ask us if doing things in the “old way” was unsafe. The answer is no; it was not unsafe. X-Guide is just a better, more accurate tool that metaphorically one could say, ‘sharpens the surgeon’s skills’. See how they compare in a clinical set-up:

FeatureTraditional Freehand SurgeryX-Guide Navigated Surgery
Visual GuidanceVisualization based only on the surgeon’s mental planning from pre-operative scansOn-screen, real-time 3D interactive tracking
InvasivenessLarger incisions (flaps) are usually required to see the boneMostly flapless (punch technique) thanks to digital guidance
PrecisionDependent on the surgeon’s manual steadinessAccuracy up to ~0.1 mm and 1 degree
Patient ExperienceLonger surgery with more post-operative swellingShorter surgery, faster recovery, less pain
AdjustabilityDifficult to change the plan during surgeryThe treatment plan can be adjusted instantly during the procedure

Frequently Asked Questions

Does using X-Guide make the surgery take longer?

On the contrary, quite the opposite. Although the prep and digital planning beforehand take a little bit more time for us in the background, your time in the chair is mostly shortened. Actually, the time used for implanting is remarkably efficient since we don’t need to guess the angles of drilling or perform big incisions to check bone position.

Is this technology only for complex cases?

Not at all. Even though Professor Doctor Coşkun Yıldız is very insistent on its use in complex cases—such as when there is hardly any bone left in a patient or implants need to be placed close to a nerve—we also apply it for a single implant. Why limit yourself to less precision just because the case is “simple”? We think every tooth deserves the highest standard of care.

Does it cost significantly more?

Probably, there would be some additional cost to cover the technology side of things because of the need for special equipment and disposable tracking clips. However, most of our patients find the investment completely insignificant in the overall scheme of their treatment plan in Turkey when the decreased risk of complications and the increased lifespan of a well-placed implant are taken into consideration.

Will I be asleep during the procedure?

It is totally your choice. Since X-Guide makes the most local anesthesia sufficient by enabling such minimally invasive methods (frequently gum incisionless), the patient usually does not require general anesthesia. At any rate, you will feel the vibration but no pain. Surely, if you are anxious, sedation options are available.

How does this help the final look of my teeth?

This is a very important question. Basically, an implant is the equivalent of a house foundation. If the foundation is not straight, the walls (your new teeth) become crooked or weak. Dentist Polen Akkılıç will be able to create a crown that perfectly matches your natural tooth emerging from the gumline only if an implant is placed spot on with the help of ​‍​‌‍​‍‌​‍​‌‍​‍‌X-Guide.

  1. Block, M. S., & Emery, R. W. (2016). Static or dynamic navigation for implant placement—Choosing the method of guidance. Journal of Oral and Maxillofacial Surgery, 74(2), 269-277.
  2. Stefanelli, L. V., DeGroot, B. S., Lipton, D. I., & Mandelaris, G. A. (2019). Accuracy of a dynamic dental implant navigation system in a private practice. The International Journal of Oral & Maxillofacial Implants, 34(1), 205-213.
  3. Panchal, N., & Mahmood, L. (2018). Dynamic navigation for dental implant surgery. Oral and Maxillofacial Surgery Clinics, 31(3), 321-329.
  4. Kaewsiri, D., Panmekiate, S., Subbalekha, K., Mattheos, N., & Pimkhaokham, A. (2019). The accuracy of static vs. dynamic computer-assisted implant surgery in single tooth space: A randomized controlled trial. Clinical Oral Implants Research, 30(6), 505-514.
  5. Jorba-García, A., Figueiredo, R., González-Barnadas, A., Camps-Font, O., & Valmaseda-Castellón, E. (2019). Accuracy and the role of experience in dynamic computer-guided dental implant surgery: An in-vitro study. Medicina Oral, Patología Oral y Cirugía Bucal, 24(1), e76.
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Dentist Polen Akkılıç

Dentist and Lema Dental Clinic founder Nisa Polen Akkılıç shares valuable information on dental health and care, providing readers with practical tips they can apply in their daily lives.